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psnet.ahrq.gov/node/34801/psn-pdf
February 10, 2011 - Medication prescribing errors in a teaching hospital.
February 10, 2011
Lesar TS, Briceland LL, Delcoure K, et al. Medication prescribing errors in a teaching hospital. JAMA.
1990;263(17):2329-34.
https://psnet.ahrq.gov/issue/medication-prescribing-errors-teaching-hospital
This study analyzed nearly 290,000 medica…
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psnet.ahrq.gov/node/39072/psn-pdf
November 04, 2009 - Variations in nursing care quality across hospitals.
November 4, 2009
Lucero RJ, Lake ET, Aiken LH. Variations in nursing care quality across hospitals. J Adv Nurs.
2009;65(11):2299-310. doi:10.1111/j.1365-2648.2009.05090.x.
https://psnet.ahrq.gov/issue/variations-nursing-care-quality-across-hospitals
This seconda…
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psnet.ahrq.gov/node/37733/psn-pdf
June 13, 2011 - Survey of medication documentation at hospital
discharge: implications for patient safety and continuity
of care.
June 13, 2011
Grimes T, Delaney T, Duggan C, et al. Survey of medication documentation at hospital discharge:
implications for patient safety and continuity of care. Ir J Med Sci. 2008;177(2):93-7. doi…
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psnet.ahrq.gov/node/44473/psn-pdf
September 27, 2016 - Medication errors in hospitals: a literature review of
disruptions to nursing practice during medication
administration.
September 27, 2016
Hayes C, Jackson D, Davidson PM, et al. Medication errors in hospitals: a literature review of disruptions to
nursing practice during medication administration. J Clin Nurs. 2…
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psnet.ahrq.gov/node/41440/psn-pdf
August 17, 2016 - The Toolkit for Using the AHRQ Quality Indicators: How
To Improve Hospital Quality and Safety.
August 17, 2016
Rockville, MD: Agency for Healthcare Research and Quality; July 2016.
https://psnet.ahrq.gov/issue/toolkit-using-ahrq-quality-indicators-how-improve-hospital-quality-and-safety
This toolkit provides resou…
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psnet.ahrq.gov/node/41776/psn-pdf
January 30, 2013 - Comparison of traditional trigger tool to data warehouse
based screening for identifying hospital adverse events.
January 30, 2013
O'Leary KJ, Devisetty VK, Patel AR, et al. Comparison of traditional trigger tool to data warehouse based
screening for identifying hospital adverse events. BMJ Qual Saf. 2013;22(2):130…
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psnet.ahrq.gov/node/836727/psn-pdf
March 09, 2022 - A family and hospital's journey and commitment to
improving diagnostic safety.
March 9, 2022
Wyner D, Wyner F, Brumbaugh D, et al. A family and hospital's journey and commitment to improving
diagnostic safety. Pediatrics. 2021;148(6):e2021053091. doi:10.1542/peds.2021-053091.
https://psnet.ahrq.gov/issue/family-an…
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psnet.ahrq.gov/node/47885/psn-pdf
May 01, 2019 - Deny, Dismiss, Dehumanise: What Happened When I
Went to Hospital.
May 1, 2019
Cullen A. Uitgeverij van Brug: The Hague, The Netherlands; 2019. ISBN: 9789065232236.
https://psnet.ahrq.gov/issue/deny-dismiss-dehumanise-what-happened-when-i-went-hospital
Patient stories offer important insights regarding the impact m…
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psnet.ahrq.gov/node/41928/psn-pdf
January 30, 2013 - Perceived causes of prescribing errors by junior doctors
in hospital inpatients: a study from the PROTECT
programme.
January 30, 2013
Ross S, Ryan C, Duncan EM, et al. Perceived causes of prescribing errors by junior doctors in hospital
inpatients: a study from the PROTECT programme. BMJ Qual Saf. 2013;22(2):97-10…
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psnet.ahrq.gov/issue/dimensions-safety-culture-systematic-review-quantitative-qualitative-and-mixed-methods
October 26, 2022 - Review
Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals.
Citation Text:
Churruca K, Ellis LA, Pomare C, et al. Dimensions of safety culture: a systematic review of quantitative, qualitative and mixe…
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psnet.ahrq.gov/issue/teamwork-associated-reduced-hospital-staff-burnout-military-treatment-facilities-findings
July 31, 2013 - Study
Teamwork is associated with reduced hospital staff burnout at military treatment facilities: findings from the 2019 Department of Defense Patient Safety Culture Survey.
Citation Text:
Godby Vail S, Dierst-Davies R, Kogut D, et al. Teamwork is associated with reduced hospital staff …
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psnet.ahrq.gov/issue/components-pharmacist-led-medication-reviews-and-their-relationship-outcomes-systematic
November 16, 2022 - Review
Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic review and narrative synthesis.
Citation Text:
Craske ME, Hardeman W, Steel N, et al. Components of pharmacist-led medication reviews and their relationship to outcomes: a systematic r…
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psnet.ahrq.gov/issue/make-or-buy-patient-safety-solutions-resource-dependence-and-transaction-cost-economics
April 08, 2008 - Study
To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective.
Citation Text:
Fareed N, Mick SS. To make or buy patient safety solutions: a resource dependence and transaction cost economics perspective. Health Care Manage Rev. 2011;36(…
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psnet.ahrq.gov/issue/association-between-limiting-number-open-records-tele-critical-care-setting-and-retract
July 22, 2020 - Study
Association between limiting the number of open records in a tele-critical care setting and retract-reorder errors.
Citation Text:
Udeh C, Canfield C, Briskin I, et al. Association between limiting the number of open records in a tele-critical care setting and retract–reorder error…
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psnet.ahrq.gov/issue/clinician-well-being-assessment-and-interventions-joint-commission-accredited-hospitals-and
June 07, 2023 - Study
Clinician well-being assessment and interventions in Joint Commission-accredited hospitals and federally qualified health centers.
Citation Text:
Longo BA, Schmaltz SP, Williams SC, et al. Clinician well-being assessment and interventions in Joint Commission-accredited hospitals an…
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psnet.ahrq.gov/issue/examination-impact-after-hours-admissions-hospital-resource-use-patient-outcomes-and-costs
November 30, 2022 - Study
Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs.
Citation Text:
Skead C, Thompson LH, Kuk H, et al. Examination of impact of after-hours admissions on hospital resource use, patient outcomes, and costs. Crit Care Res Pract. 2022…
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psnet.ahrq.gov/issue/long-road-patient-safety-status-report-patient-safety-systems
October 04, 2011 - Study
Classic
The long road to patient safety: a status report on patient safety systems.
Citation Text:
Longo DR, Hewett JE, Ge B, et al. The long road to patient safety: a status report on patient safety systems. JAMA. 2005;294(22):2858-65.
Copy Citation
…
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psnet.ahrq.gov/issue/prevalence-medication-administration-errors-two-medical-units-automated-prescription-and
February 26, 2020 - Study
Prevalence of medication administration errors in two medical units with automated prescription and dispensing.
Citation Text:
Rodriguez-Gonzalez CG, Herranz-Alonso A, Martin-Barbero ML, et al. Prevalence of medication administration errors in two medical units with automated presc…
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psnet.ahrq.gov/issue/system-wide-approach-explaining-variation-potentially-avoidable-emergency-admissions-national
November 25, 2020 - Study
A system-wide approach to explaining variation in potentially avoidable emergency admissions: national ecological study.
Citation Text:
O'Cathain A, Knowles E, Maheswaran R, et al. A system-wide approach to explaining variation in potentially avoidable emergency admissions: nation…
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psnet.ahrq.gov/issue/effects-multifaceted-medication-reconciliation-quality-improvement-intervention-patient
April 12, 2023 - Study
Emerging Classic
Effects of a multifaceted medication reconciliation quality improvement intervention on patient safety: final results of the MARQUIS study.
Citation Text:
Schnipper JL, Mixon A, Stein J, et al. Effects of a multifaceted medication reconcil…